Provider Demographics
NPI:1891465621
Name:CONWAY, CLARE (LPCC, ATR, RYT)
Entity type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:CONWAY
Suffix:
Gender:F
Credentials:LPCC, ATR, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 FIR AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-3913
Mailing Address - Country:US
Mailing Address - Phone:440-426-2000
Mailing Address - Fax:
Practice Address - Street 1:11328 EUCLID AVE APT 203
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-3978
Practice Address - Country:US
Practice Address - Phone:216-453-8073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH21-044221700000X
OHE.2303454101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist